Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.70 / $3,073.00 / $7,125.00	Facility		$929.70	$3,073.00	$7,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $929.70 / $1,362.54 / $1,900.52	Professional		$929.70	$1,362.54	$1,900.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,968.04 / $14,868.41 / $19,209.56	Facility		$9,968.04	$14,868.41	$19,209.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $345.40 / $345.40	Professional		$120.00	$345.40	$345.40
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $2,500.00 / $2,500.00	Professional		$1,500.00	$2,500.00	$2,500.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,520.00 / $7,400.00 / $14,716.00	Facility		$1,520.00	$7,400.00	$14,716.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,703.71 / $2,505.67 / $4,054.32	Professional		$1,703.71	$2,505.67	$4,054.32